The Alignment Builder™
Why You Need This
You and your co-owners are aligned.
But if your leadership team isn’t?
It shows up everywhere:
- Decisions stall.
- Strategies get watered down.
- Bickering replaces progress.
And while you’re trying to keep the peace, patient care, billing, and team morale quietly take the hit.
Let’s audit your practice to find exactly where misalignment is costing you — and what to do about it.
This 4-step conversation framework gives you a clear, structured way to create real alignment — without forcing, fighting, or faking it.
The 4-Step Alignment Framework
These are the exact steps used by top Clinics to help their leadership team think, feel, and act like true leaders — even when they don’t naturally agree.
Step 1: Set the Ground Rules
(So You Don’t Blow Up Mid-Meeting)
Start by creating psychological safety.
Agree on behaviours before you talk strategy.
Example ground rules:
- “We listen to understand, not just to respond.”
- “No interrupting.”
- “We focus forward, not rehash old fights.”
- “‘Yes, and…’ not ‘No, but…’”
📝 Write these up where everyone can see — flipchart, Google Doc, whiteboard.
They’re not fluffy. They’re structural.
Remind each other what you’re really trying to build.
Ask:
- What problem were we solving when we started this Practice?
- What do we want it to feel like to work here?
- What would “winning” look like 12 months from now?
This is the moment where tension turns into common ground.
Conflict isn’t always personality-based — it’s often priority-based.
The friction usually means there’s untapped value in the room.
Prompts:
- What’s one strength each of us brings that the others don’t?
- Where have we butted heads — and could that reflect different roles, not wrongness?
Frame disagreements as data. You’ll be surprised what shifts.
(With Clear Governance)
Once you’ve reset the tone, get tactical.
Ask:
- What’s working right now?
- What’s not?
- What are 1–2 things that would improve how we lead together?
- How will we hold ourselves accountable?
Then lock in a check-in rhythm — monthly, quarterly, or tied to milestones.
Alignment isn’t a one-off conversation. It’s a leadership habit.
Real-World Language That Works
Need help framing the conversation? Use these exact phrases:
To open the discussion:
“I know we’ve had some friction. I’m not looking to point fingers — I just want us rowing in the same direction.”
To surface issues safely:
“Let’s list everything we’ve disagreed on, then see if there are patterns.”
To challenge respectfully:
“That’s one way to look at it. Can I offer a different angle?”
To move from friction to fix:
“What’s one thing we could try for the next 30 days that might improve this?”
Next Step: Apply This With Your Team
You’ve got the framework. Now let’s make it real.
If you’re seeing tension, stalls, or side-eye in your leadership team — it’s rarely a people problem.
It’s a clarity problem.
That’s where we come in.
In a free 20-minute Alignment Call, Sachin will help you:
- Spot where your team is misfiring (it’s usually not where you think)
- Apply this 4-step framework to your real-world challenges
- Map a path forward — without drama, debate, or dragging it out
* Limited calls available to keep this personal and relevant.
Success Stories of Some of Our Members